Around ten o'clock in the evening, Yu Zhiming returned to their rented house in Zijinyuan carrying a bamboo basket and Gu Qingning holding a big-bellied casserole.
Yu Xiangwan, who was at home, quickly stood up to greet him and took the casserole from Gu Qingning's arms.
"It's quite heavy. What's in it?"
"Return gift?"
Gu Qingning laughed and said, "Sister, this is Buddha Jumps Over the Wall."
"The ingredients inside have been processed. Simmer it over low heat for ten hours tomorrow and it will be ready to eat."
Yu Zhiming showed the contents of the bamboo basket to his fourth sister and said, "These are morels, morels, chicken mushrooms, and hericium erinaceus. They are all relatively rare mushrooms."
"Let Zhang Bai cook it for us tomorrow night."
Yu Xiangwan hummed, and asked loudly while carefully placing the big-bellied casserole and the mushrooms in the bamboo basket.
"Qing Ning, are your parents satisfied with Lao Wu?"
Gu Qingning smiled and replied, "Sister, my parents are very satisfied. They even said that in addition to the normal dowry, they also want an extra house of over 200 square meters."
Yu Xiangwan smiled happily and said, "As long as you are satisfied."
"After the Spring Festival, when my parents and eldest sister come to Binhai, we can sit down together and discuss your marriage."
Yu Zhiming reminded her, "Sister, you are ahead of me. Your marriage with Zhang Bai has higher priority."
Yu Xiangwan smiled and said, "Zhang Bai and I are not in a hurry. We have to celebrate the anniversary of Zhang Bai's mother's death."
"Fifth brother, you are shouldering the heavy responsibility of continuing the Yu family's lineage. Mom and Dad have been worried for years."
This made Yu Zhiming depressed.
At first, he was urged to find a girlfriend.
Now that I have found a girlfriend, I will definitely urge her to get married.
Next, it’s time to have a baby.
After giving birth to one, I urged her to have a second one...
Yu Zhiming suddenly felt a headache and couldn't help but glance at Qingning's belly.
"Qing Ning, didn't you say you wanted to have three children? How about getting pregnant with three children all at once..."
At around 8:20 the next morning, Yu Zhiming, who was feeling some back and leg pain, rushed to the central building of the hospital.
I found out that Zhou Mo had arrived earlier.
"Zhou Mo, I came early because I wanted to take a look around the ward area first. You don't need to come so early."
Zhou Mo rolled his eyes and said, "How dare the little assistant arrive later than the boss? Does she want to be fired for entering the office with her left foot first?"
"Doctor Yu, only if you stop curling up first, will my assistant be able to relax a little."
Yu Zhiming also rolled his eyes and took the A4 paper handed over by this guy.
Above are the detailed family addresses of the leaders and colleagues on Yu Zhiming’s New Year gift list.
Zhou Mo also carefully marked the people who lived in the same community or lived nearby.
Not only that, Zhou Mo also marked the addresses of these people on the city map printed on the back of the paper.
"Well done, you put your heart into it."
Yu Zhiming praised, took out a thick red envelope from his briefcase and handed it to Zhou Mo.
"Today is the day to pay salaries and year-end bonuses. As your boss, I have to show some appreciation."
Zhou Mo took the red envelope, opened it, and saw that it contained 10,000 yuan in cash. He immediately smiled.
"Boss Yu, thank you for your generosity."
"I promise that I will do my assistant job wholeheartedly and save you some work."
After a pause, Zhou Mo introduced: "Doctor Yu, today we will only pay the salary. According to hospital practice, the year-end bonus will not be paid until around the 15th."
Yu Zhiming said "oh" and took out a thinner red envelope from his briefcase.
"This is Qiao Lei's. Please give it to him for me."
Zhou Mo took the red envelope and nodded.
Yu Zhiming changed into his white coat and prepared for work, when he suddenly remembered that there was one thing he had forgotten to ask.
"Hey, Zhou Mo, your childhood sweetheart yesterday..."
Seeing Zhou Mo's wide eyes, Yu Zhiming immediately changed his tone and said, "Yesterday, the teacher and his ex-wife hosted a gathering for friends and family to celebrate Qi Zhen's return to China. Is there any news?"
"Like, a live display of affection or something?"
Zhou Mo let out a long breath and said, "He did confess his love to me and even knelt on one knee to give me a ring..."
Yu Zhiming took a special look and didn't see any ring on her finger.
"Rejected?"
Zhou Mo nodded, and then said distressedly: "The situation was a bit confusing at the time. I don't know why my brain suddenly pulled it out, and I said I don't like men."
"What do you mean?" Yu Zhiming didn't react for a moment.
"What it means is that I publicly announced in front of dozens of people that I like women, not men."
Zhou Mo lamented again: "Doctor Yu, this is all your fault."
"Ever since you proposed the awful idea of marrying a boyfriend with a deviant sexual orientation, I've been thinking about its feasibility these past few days."
"I didn't expect that my nervousness and my brain would make me become sexually abnormal."
“So annoying!”
Yu Zhiming said seriously, "Zhou Mo, have you ever thought that maybe this isn't just a random thought, but a true expression of your heart?"
Zhou Mo pinched the joints of his right hand until they made a crackling sound. He asked with a cold look in his eyes, "Doctor Yu, I didn't hear what you just said clearly. Can you say it again?"
Yu Zhiming took a step back and said, "What I was saying is that pinching your joints like this could cause joint damage."
He retreated towards the door while speaking, then said, "I'm going to the ward for rounds," and turned and ran away...
Although he did not need to see patients in the outpatient clinic today, Yu Zhiming was still busy. It was not until nearly 9:40 in the morning that he had some free time to check his salary.
Today is January 7th, and yesterday was Sunday, so the salary payment was delayed until today.
He first took out his cell phone and looked at two bank text messages.
The latest one stated that he had received a transfer income of over 210,000 yuan, which was his income from Ning'an Hospital last month.
The second bank text message stated that the transfer income was more than 2.77 million yuan, which was Huashan Hospital’s income last month.
This number is within Yu Zhiming's estimated range.
Last month, the Beijing Women's Club cost 2.12 million, film and television star Zhao Zhiwen cost 1 million, Qing Ning's cousin and uncle cost 450,000, and two physical examinations organized by the Health Bureau cost 300,000.
In addition to these, plus Yu Zhiming's daily work income at Huashan Hospital, project allowances, talent allowances, etc., the total income should be around 4.3 to 4.5 million.
After deducting personal income tax, hospital financial expenses, insurance, provident fund and other expenses, the actual amount received was 2.77 million, which set a new record for Yu Zhiming's income.
Yu Zhiming took out his tablet computer and wanted to check the details of his income for the previous month when he heard footsteps and the sound of a wheelchair approaching.
Looking up, I saw Dr. Xiong Jing and a man in a wheelchair who was being pushed by a middle-aged woman and was breathing oxygen, appearing at the door of the large office.
"Doctor Yu..."
Doctor Xiong took two quick steps, looking ashamed, and said, "I was so careless to interrupt you yesterday. In my haste, I forgot that this was your rare rest time."
Yu Zhiming politely replied, "Doctor Xiong, there's no need to apologize. You are a doctor and a caring person. I understand."
"Let's check the patient's body first..."
The patient is 47 years old and successfully underwent a heart transplant three years ago due to severe heart failure.
Dr. Xiong said that the patient's heart function has declined significantly in the past week.
Today, it is less than half of its original size.
This is, heart failure strikes again.
A few minutes later, in the examination room, Yu Zhiming examined the patient who had swollen lower limbs and difficulty walking, and found that his right ventricle had some hypertrophy.
At the same time, Yu Zhiming also felt the weakness of the heart, especially the right ventricle.
He clearly felt that the blood pumping pressure of the right ventricle was much higher than that of the left ventricle.
Is this heart failure caused by pulmonary hypertension?
With this question in mind, Yu Zhiming conducted a detailed exploration of the patient's lungs along the pulmonary artery.
As expected, he found that the blood circulation in the patient's lungs was somewhat slow and the blood vessels were slightly swollen compared to other parts of the body.
There were indeed signs of pulmonary hypertension.
Yu Zhiming also conducted a quick examination of other parts of the patient's body and found symptoms such as liver and kidney damage, splenomegaly, and gastrointestinal congestion.
Next, Yu Zhiming shared his findings with Dr. Xiong Jing and the patients.
"Heart failure caused by pulmonary hypertension?"
The patient was very confused and said breathlessly, "Since the heart transplant, I have stopped working and have been concentrating on recuperating."
"In May, Dr. Xiong, I had a heart and physical examination, and you said I was in great shape, like a young man."
"do you remember?"
Xiong Jing nodded and said, "Of course I remember."
"So, I was also surprised that your heart condition was so bad when you came to see me this time."
"Only half a year has passed."
The patient said bitterly, "For the past six months, I haven't done anything else. I just went to Dali to see the scenery, take a walk, and take care of my body as usual."
Dali?!
Pulmonary hypertension!
Yu Zhiming asked, "Dali Plateau?"
After hearing this, Xiong Jing quickly took out his cell phone to check, and then he was speechless.
Most of Dali's altitude is between two and three thousand meters.
This altitude will not cause any discomfort to ordinary people, but for heart patients, it may cause altitude sickness.
If it was a short trip, there would not be any big problem, but the patient stayed in Dali for half a year.
Although patients do not feel any discomfort, long-term chronic hypoxia causes the pulmonary arterioles to be in a state of contraction for a long time, which can cause hypertrophy of the smooth muscle in the tunica media of the pulmonary blood vessels, vascular sclerosis, and the formation of stable pulmonary hypertension.
Pulmonary hypertension increases the resistance to right ventricular ejection.
In addition, hypoxia causes an increase in red blood cells, which increases blood viscosity and can also increase pulmonary circulation resistance.
This causes the patient's right ventricle to have to work more to meet the pulmonary circulation, causing slight changes in the structure of the right ventricle and symptoms of hypertrophy.
But this is not a long-term solution. The heart's compensatory capacity is limited. Once it exceeds a certain limit, the myocardial structure and function will lose their compensatory capacity, which will cause heart failure.
What's more, the patient's heart is transplanted and is very fragile, requiring careful care.
After listening to Dr. Xiong's detailed explanation, the patient was dumbfounded.
"I specifically chose a tourist destination with beautiful scenery and a suitable climate to recuperate, but ended up hurting myself?"
"Doctor Xiong, is there any hope for my condition?"
Xiong Jing first glanced at Yu Zhiming, then at the patient, and said thoughtfully, "Heart transplant, heart failure, and liver and kidney damage, how to use the medicine is a troublesome matter."
"All I can say is, do your best..."
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